An ehealth intervention to increase physical activity and healthy eating in older adult cancer survivors: Summative evaluation results Journal Article
| Authors: | Krebs, P.; Shtaynberger, J.; McCabe, M.; Iocolano, M.; Williams, K.; Shuk, E.; Ostroff, J. S. |
| Article Title: | An ehealth intervention to increase physical activity and healthy eating in older adult cancer survivors: Summative evaluation results |
| Abstract: | Background: A healthy lifestyle is associated with improved quality of life among cancer survivors, yet adherence to health behavior recommendations is low. Objective: This pilot trial developed and tested the feasibility of a tailored eHealth program to increase fruit and vegetable consumption and physical activity among older, long-term cancer survivors. Methods: American Cancer Society (ACS) guidelines for cancer survivors were translated into an interactive, tailored health behavior program on the basis of Social Cognitive Theory. Patients (N=86) with a history of breast (n=83) or prostate cancer (n=3) and less than 5 years from active treatment were randomized 1:1 to receive either provider advice, brief counseling, and the eHealth program (intervention) or advice and counseling alone (control). Primary outcomes were self-reported fruit and vegetable intake and physical activity. Results: About half (52.7%, 86/163) of the eligible patients consented to participate. The most common refusal reasons were lack of perceived time for the study (32/163) and lack of interest in changing health behaviors (29/163). Furthermore, 72% (23/32) of the intervention group reported using the program and most would recommend it to others (56%, 14/25). Qualitative results indicated that the intervention was highly acceptable for survivors. For behavioral outcomes, the intervention group reported increased fruit and vegetable consumption. Self-reported physical activity declined in both groups. Conclusions: The brief intervention showed promising results for increasing fruit and vegetable intake. Results and participant feedback suggest that providing the intervention in a mobile format with greater frequency of contact and more indepth information would strengthen treatment effects. © 2017 JMIR Publications Inc. All Rights Reserved. |
| Keywords: | breast neoplasms; survivors; prostatic neoplasms; diet; ehealth; food and nutrition |
| Journal Title: | JMIR Cancer |
| Volume: | 3 |
| Issue: | 1 |
| ISSN: | 2369-1999 |
| Publisher: | JMIR Publications, Inc |
| Date Published: | 2017-01-01 |
| Start Page: | e4 |
| Language: | English |
| DOI: | 10.2196/cancer.6435 |
| PROVIDER: | scopus |
| PMCID: | PMC5392211 |
| PUBMED: | 28410171 |
| DOI/URL: | |
| Notes: | Article -- Source: Scopus |
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